ATI RN
Pediatric Research Questions Questions
Question 1 of 5
A 16-year-old discusses his recent diagnosis of lupus with the nurse. Which statement best describes adolescent thinking regarding the future?
Correct Answer: B
Rationale: During adolescence, abstract thinking develops, allowing teens to envision future possibilities.
Question 2 of 5
Immunity to a disease after recovery is possible because the first exposure to the pathogen has stimulated the formation of which of the following?
Correct Answer: C
Rationale: Immunity to a disease after recovery is possible because the first exposure to the pathogen has stimulated the formation of memory cells. Memory cells are a type of immune cell that "remembers" the specific pathogen encountered during the initial infection. When the same pathogen tries to infect the individual again, these memory cells quickly recognize the pathogen and mount a faster and stronger immune response, leading to a quicker recovery and preventing the person from getting sick again from the same pathogen. This immune memory is the basis of acquired immunity, providing long-lasting protection against future infections by the same pathogen.
Question 3 of 5
The nurse is conducting teaching for an adolescent being discharged to home after a renal transplant. The adolescent needs further teaching if which statement is made?
Correct Answer: B
Rationale: The statement "I am glad I only have to take the immunosuppressant medication for two weeks" indicates a misunderstanding about the long-term nature of immunosuppressant therapy following a renal transplant. In reality, individuals who undergo a renal transplant need to take immunosuppressant medications for the rest of their lives to prevent rejection of the donor kidney. Failure to adhere to this medication regimen can result in rejection of the transplanted kidney. Therefore, this statement indicates a need for further teaching to ensure the adolescent understands the importance of lifelong immunosuppressant therapy.
Question 4 of 5
A client is admitted to an acute care facility with a tentative diagnosis of hypoparathyroidism. The nurse should monitor the client closely for the related problem of:
Correct Answer: B
Rationale: Hypoparathyroidism is a condition characterized by decreased levels of parathyroid hormone, which can lead to low levels of calcium in the blood (hypocalcemia). Profound neuromuscular irritability is a significant complication of hypocalcemia and is a key concern for clients with hypoparathyroidism. Symptoms can include muscle cramps, tetany, seizures, and decreased cardiac contractility. Monitoring for neuromuscular irritability and promptly addressing low calcium levels are essential in the care of clients with hypoparathyroidism.
Question 5 of 5
The parents of a newborn who has just died decide they want to hold their deceased infant. What is the most appropriate nursing intervention?
Correct Answer: D
Rationale: The most appropriate nursing intervention in this situation would be to get the newborn, wrap in a blanket, and rewarm in a radiant warmer so parents can hold their deceased infant. This is known as a "cold cuddle" technique, where the infant is gently rewarmed for a short period of time to allow the parents to hold and say goodbye to their baby. This practice has been shown to help parents in the grieving process and is a compassionate way to support them during this difficult time. It allows the parents to have a physical connection with their child and provides them with some closure and the opportunity to create lasting memories.